Labour pain control by aromatherapy: A meta-analysis of randomised controlled trials

Chen, Shuo Fei; Wang, Chia-Hui; Chan, Pi Tuan; Chiang, Hsiu Wen; Hu, Tsung‐Ming; Tam, Ka Wai; Loh, El Wui

doi:10.1016/j.wombi.2018.09.010

Cited by 41 publications

(39 citation statements)

References 24 publications

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Section: Discussionsupporting

confidence: 93%

“…In addition, rank probability analysis indicated that aromatherapy had the highest probability to be rank 1 (35%), meaning that aromatherapy was the most effective intervention for relieving labour pain. This finding is similar to those reported in previous systematic reviews (Chen et al, 2019; Liao et al, 2020) and overview of systematic reviews (Freeman et al, 2019). Aromatherapy, as a kind of mind‐body therapy, uses essential oils extracted from natural crops to relax and balance the mind and body through inhalation, massage, baths, oral administration and so on (Tillett & Ames, 2010).…”

Section: Discussionsupporting

confidence: 92%

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Efficacy and safety of non‐pharmacological interventions for labour pain management: A systematic review and Bayesian network meta‐analysis

Huang

et al. 2021

Journal of Clinical Nursing

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Aims and objectives: To compare and rank the efficacy and safety of nonpharmacological interventions in the management of labour pain. Background: Recently, various non-pharmacological interventions have been applied to manage labour pain and have shown positive effects. However, evidence identifying which type of non-pharmacological intervention is more efficient and safer is limited. Design: Systematic review and Bayesian network meta-analysis based on PRISMA-NMA. Methods: Seven databases were searched from database inception-March 2020. Two reviewers independently performed study selection, quality appraisal and data extraction. Conventional meta-analysis was conducted using either fixed-effects model or random-effects model according to statistical heterogeneity. The Bayesian network meta-analysis was conducted using the consistency model. Results: 43 studies involving nine non-pharmacological interventions were included. The Bayesian network meta-analysis showed that acupressure (SMD = −2.00, 95% CrI −3.09 to −0.94), aromatherapy (SMD = −2.01, 95% CrI −3.70 to −0.35) and massage therapy (SMD = −1.26, 95% CrI −2.26 to −0.30) had significant positive effects on alleviating labour pain, with aromatherapy being the most effective. The results also revealed that yoga (SMD = −130.85, 95% CrI −212.01 to −59.32) and acupressure (SMD = −10.14, 95% CrI −20.24 to −0.41) were the most effective interventions for shortening the first stage and the second stage of labour, respectively. There were no significant differences between non-pharmacological interventions and usual care or placebo control on the use of pharmacological methods and neonatal 5-min Apgar score. Conclusions:The evidence in this network meta-analysis illustrates that nonpharmacological interventions are effective and safe for labour pain management in low-risk pregnant women. In the future, well-designed studies are needed to validate the conclusion of this network meta-analysis. Relevance to clinical practice:The results support the use of non-pharmacological interventions, especially aromatherapy and acupressure, to relieve labour pain in

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 92%

Efficacy and safety of non‐pharmacological interventions for labour pain management: A systematic review and Bayesian network meta‐analysis

Huang

et al. 2021

Journal of Clinical Nursing

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“…Нетрадиційні методи знеболення мають індивідуальний характер та зазвичай включають техніки розслаблення та масажу [37], ароматерапію [38], дихальні техніки [39], теплий душ або ванну [40], використання фітболу [41].…”

Section: результати і обговоренняunclassified

Labor Analgesia in Kiev (Ukraine)

Кучин¹,

Govsieiev²,

Бєлка³

et al. 2021

Pain Anaesth Int Care

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The problem of a labor pain is becoming very important for health care because insufficient analgesia for women during childbirth affects the quality of medical care. The complexity of the use in the system and approaches to providing care to citizens in Ukraine, and at the local level – the interaction of the obstetrician with the women, anaesthetist and also the technical capabilities of public maternity hospitals [1]. For the last decade, epidural analgesia has been the «golden» method in labor analgesia. We searched numerous meta-analyzes about pain management during labor and delivery in the United States, they prefer epidural analgesia in 80-90% of women, while in the UK - 36% [2, 3]. Statistics from around the world indicate a relationship between pain relief and income levels, so in high-income countries, (HICs) women are more likely to be anesthetized during childbirth than in South Africa or Asia [4]. Although childbirth is a physiological and natural process, it needs pain relief. Nowadays a woman’s desire is a sufficient indication for labor analgesia, and this is her right [5]. The problem is to choose a pharmacological and / or non-pharmacological method of analgesia for a particular woman, which will be best for the parturient. It should be noted that there is a separate group of women who choose to give birth at home to reduce the «aggression» of medical staff against women and her child, but they have a higher incidence of complications and increased mortality [6]. «Homebirth» in maternity hospitals helps to solve this problem. A comprehensive questionnaire was created among seven state maternity hospitals in Kyiv to identify the current situation with the provision of maternity care and to analyze the main issues of labor analgesia in Kyiv.

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“…The presented trials in the palliative care setting may not provide concrete evidence in favor of the use of aromatherapy to control pain. However, evidence from meta-analyses and systematic reviews performed in patients undergoing cardiac surgery [8], patients with primary dysmenorrhea [9], and those with pain during labor [10] show that aromatherapy can improve the pain symptom. Another meta-analysis and systematic review reported the successful application of aromatherapy to treat pain when combined with conventional treatments [11].…”

Section: Painmentioning

confidence: 99%

Effectiveness of Aromatherapy in Alleviating Palliative Symptoms and Its Possible Side Effects: A Literature Review

Männle¹,

Osorio²,

Münstedt³

2020

OBM ICM

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Palliative care is a steadily growing component of medicine that focuses on treating individuals with life-limiting diseases such as cancer. It aims at improving the quality of life and alleviating cancer-related symptoms, including anxiety, pain, dyspnea, cough, nausea/vomiting, and constipation, which could result in significant physical and mental impairment. Integrative palliative care (IPC), as a subspecialty of palliative care, includes complementary approaches to treat patients holistically in their biopsychosocial environments. Aromatherapy is a complementary therapy widely used in patients with cancer. It is practiced in two forms: direct inhalation of essential oils and in the form of massage with essential oils. The present study investigated the effectiveness of aromatherapy in alleviating palliative symptoms and its possible side effects.

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Labour pain control by aromatherapy: A meta-analysis of randomised controlled trials

Cited by 41 publications

References 24 publications

Efficacy and safety of non‐pharmacological interventions for labour pain management: A systematic review and Bayesian network meta‐analysis

Efficacy and safety of non‐pharmacological interventions for labour pain management: A systematic review and Bayesian network meta‐analysis

Labor Analgesia in Kiev (Ukraine)

Effectiveness of Aromatherapy in Alleviating Palliative Symptoms and Its Possible Side Effects: A Literature Review

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